Health Care Reform Simplified [electronic resource] : What Professionals in Medicine, Government, Insurance, and Business Need to Know /
Parks, David.author.
Health Care Reform Simplified: What Professionals in Medicine, Government, Insurance, and Business Need to Know describes the Patient Protection and Affordable Care Act of 2010. Now that the U.S. Supreme Court has upheld the individual mandate and other key parts of the law—what must busy healthcare professionals, insurance industry professionals, business and HR managers, and policymakers do? First, read this book. It translates the law’s complex language into terms that are easy to understand, explaining what the new law does, when its provisions take effect, and how to implement it. This brand-new second edition also updates all the provisions and explains the myriad ways the ACA is already being put into practice. Health Care Reform Simplified, Second Edition, outlines the financial impact of the law and how it affects businesses, insurers, hospitals and doctors, and state and local governments. Most important, this book gives consumers and employers critical information for making informed choices about new options for private and public health insurance coverage. It also describes how the law interacts with Medicare and Medicaid. Finally, it looks at the potential roadblocks—political, judicial, and economic—that may yet derail some of the provisions. But with more than half of the Act's provisions in force already, and the Supreme Court's landmark decision upholding the law, there is no time to lose in understanding how the legislation affects you whether you are a consumer or deliverer of health care in the U.S. This book: Explains health reform in easy-to-understand terms Shows how the law is playing out in the real world Explains the ways the law or parts of it yet may be repealed by the 2012 election and the implications for readers Provides HR professionals and managers options for covering employees while explaining costs and benefits Details the impact on medical professionals and insurers and steps they must take now to comply with the law Shows policymakers the way forward now that legal challenges have abated This edition, completely updated to incorporate the newest regulations and the practices that have been put into place in various states, will prove an indispensable guide for those implementing the law, as well as those receiving health care, in the coming years.
Description based upon print version of record.
Title Page; Copyright Page; Table of Contents; About the Author; About the Technical Reviewer; Acknowledgments; Introduction; Chapter 1: Overview; Quick History of Health Care Insurance; World War II Spurs Insurance Growth; Assassination Turns Nation to Medicare; America's Breathtaking Rise of Medical Care Costs; Political Primer on Health Care Reform; Health Care Enters the 2008 Presidential Campaign; Washington Battles over Health Care Reform; Obama Targets Insurers Despite Their Support; Supreme Court Rules on Constitutionality of Affordable Care Act in 2012
Health Care Reform Summary, ScheduleIndividual Mandate, Tax Penalties Scheduled for 2014; Businesses Face New Rules for Covering Workers; Medicaid Beneficiaries Could Expand by 16 Million; Private Insurance to Expand by 16 Million Policyholders; Push for More Preventive Care and Better Quality; Twenty-three Million Americans Expected to Remain Uninsured; Timeline for Health Care Reform Provisions; Coming Next; Chapter 2: Early Changes; Temporary Exchanges for People with High-Risk Conditions; Expanded Plan Options in 2011 for High-Risk Exchanges
New Insurance Guarantees for Children with Health IssuesYoung Adults Get Extension to Age 26 on Parents' Policies; Insurance-Rate Reviews Start, Some States Toughen Oversight; Workers Hit, Too; Insurers Banned from Cutting and Capping Coverage; Slowly Filling Medicare's Prescription Drug "Donut Hole"; Changes Continued Throughout 2011; Coming Next; Chapter 3: New Choices; Some Policies May Be "Grandfathered" Under New Law; Insurance Exchanges Are Critical to Health Care Reform; Tax Credit and Subsidies Available at Exchanges; Wisconsin Prototype Offers Example of Insurance Exchange
Massachusetts Insurance Exchange Offers Real-Life ExampleCriticism of Health Care Reform in Massachusetts; Opposition to Insurance Exchanges; Individual Mandate Requirements and Penalties; Premiums No Longer Tied to Pre-Existing Medical Conditions; Rights to Appeal, Choose Doctor, and Preventive Care; Health Care Reform Brings Changes to Income Tax System; Government Drops Long-Term Care Provision; Coming Next; Chapter 4: Business Trends; Law Attempts to Give Small Businesses Relief from Big Insurance Costs; Tax Credit for Small Businesses Started in 2010
Be Careful Counting If You Are Counting on a Tax CreditGrandfathering, or Keeping Your Existing Plan, Requires Complex Calculations; Larger Employers Required to Report Insurance Value on W-2 Forms; Requirement for Coverage and Penalties for Not Doing So; Small Businesses May Shop at Insurance Exchanges; Devil May Be in the Details for SHOP Insurance Plans; Early Retiree Reinsurance Program Stops Accepting Applicants; Exchanges Expected to Provide Relief to Early Retirees; New Law Creates Incentives for Employee Wellness Programs; Coming Next; Chapter 5: Insurance Shift
Insurers' Medical Loss Ratio Creates Rebates for Policyholders
Includes bibliographical references and index.
Health Care Reform Simplified: What Professionals in Medicine, Government, Insurance, and Business Need to Know describes the Patient Protection and Affordable Care Act of 2010. Now that the U.S. Supreme Court has upheld the individual mandate and other key parts of the law—what must busy healthcare professionals, insurance industry professionals, business and HR managers, and policymakers do? First, read this book. It translates the law’s complex language into terms that are easy to understand, explaining what the new law does, when its provisions take effect, and how to implement it. This brand-new second edition also updates all the provisions and explains the myriad ways the ACA is already being put into practice. Health Care Reform Simplified, Second Edition, outlines the financial impact of the law and how it affects businesses, insurers, hospitals and doctors, and state and local governments. Most important, this book gives consumers and employers critical information for making informed choices about new options for private and public health insurance coverage. It also describes how the law interacts with Medicare and Medicaid. Finally, it looks at the potential roadblocks—political, judicial, and economic—that may yet derail some of the provisions. But with more than half of the Act's provisions in force already, and the Supreme Court's landmark decision upholding the law, there is no time to lose in understanding how the legislation affects you whether you are a consumer or deliverer of health care in the U.S. This book: Explains health reform in easy-to-understand terms Shows how the law is playing out in the real world Explains the ways the law or parts of it yet may be repealed by the 2012 election and the implications for readers Provides HR professionals and managers options for covering employees while explaining costs and benefits Details the impact on medical professionals and insurers and steps they must take now to comply with the law Shows policymakers the way forward now that legal challenges have abated This edition, completely updated to incorporate the newest regulations and the practices that have been put into place in various states, will prove an indispensable guide for those implementing the law, as well as those receiving health care, in the coming years.
Business.
Management science.
Business and Management, general.